Individual
CHANNON KLEIN GILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
15645 84TH ST, HOWARD BEACH, NY 11414-2617
(718) 738-1800
Mailing address
556 DERBY AVE, WOODMERE, NY 11598-2713
(516) 569-1648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014947-1
NY
Other
Enumeration date
11/04/2008
Last updated
10/06/2010
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